Free vascularized fibular transfer with langenskiöld procedure for the treatment of congenital pseudarthrosis of the forearm

Andrea S. Bauer, Avreeta K. Singh, Derek Amanatullah, Joel Lerman, Michelle James

Research output: Contribution to journalArticle

6 Scopus citations


Congenital pseudarthrosis of the radius or ulna is a rare entity. It is associated with neurofibromatosis, but occurs much less commonly than congenital pseudarthrosis of the tibia. Pseudarthrosis of the forearm can lead to pain, deformity, and limited forearm rotation. Nonsurgical management leads to poor results, as do surgical treatments such as open reduction internal fixation and conventional bone grafting. The transfer of a free vascularized fibula to the forearm pseudarthrosis has been more successful, and it is our preferred method of treatment for children with this condition. Because the transfer is often performed in young children, there is the potential for valgus deformity at the ankle after the fibula is removed. We describe here our technique for the transfer, including the technique for distal tibiofibular fusion (Langenskiöld procedure) after removal of the fibular graft. In addition, we present the results of 5 patients who have undergone this combination of procedures for pseudarthrosis of the forearm at our institution.

Original languageEnglish (US)
Pages (from-to)144-150
Number of pages7
JournalTechniques in Hand and Upper Extremity Surgery
Issue number3
StatePublished - Sep 2013
Externally publishedYes



  • congenital pseudarthrosis
  • free vascularized fibula
  • neurofibromatosis

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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